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1053412296
SUSAN ELAINE SHELTON
MARION, IL
NPI
1053412296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-008178)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN ELAINE SHELTON LCSW, DCSW, BCD
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
Mrs. SUSAN ELAINE SHELTON LCSW, DCSW, BCD
16612 WILLIAMS CHAPEL RD
EWING, IL 62836-1049
Phone number: 618-629-2124
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